Provider Demographics
NPI:1174802359
Name:SEACOAST PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:SEACOAST PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAWRANCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:380 ELM ST
Mailing Address - Street 2:UNIT 7
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-3070
Mailing Address - Country:US
Mailing Address - Phone:207-571-3420
Mailing Address - Fax:207-571-3430
Practice Address - Street 1:380 ELM ST
Practice Address - Street 2:UNIT 7
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3070
Practice Address - Country:US
Practice Address - Phone:207-571-3420
Practice Address - Fax:207-571-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty